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Organization
FOUNTAIN COUNTY AUDITOR
Active
Organization
FOUNTAIN COUNTY AUDITOR
Active
Parent organization
FOUNTAIN COUNTY
Other names
Fountain Warren County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUNTAIN COUNTY
Authorized official
MELISSA DISMORE (ASSISTANT RN/ HEALTH EDUCATOR)
(765) 762-3035
Entity
Organization
Contact information
Practice address
113 W SYCAMORE ST, ATTICA, IN 47918-1832
(765) 762-3035
(765) 762-6520
Mailing address
113 W SYCAMORE ST, ATTICA, IN 47918-1832
(765) 762-3035
(765) 762-6520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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